FDA Adverse Event Injury Summary report: N

ARTICULEZE M 28MM 8.5

MDR report key: 1051152 · Received May 21, 2008

Report

Report Number
1818910-2008-01973
Event Type
Injury
Date Received
May 21, 2008
Date of Event
May 6, 2008
Report Date
May 26, 2008
Manufacturer
DEPUY INTERNATIONAL, LTD
Product Code
LPH
PMA / PMN Number
K883460
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EXAMINATION WAS NOT POSSIBLE, AS THE DEVICES WERE NOT RETURNED. A COMPLAINT DATABASE SEARCH FINDS NO OTHER REPORTED INCIDENTS AGAINST THE PROVIDED PRODUCT AND LOT CODES SINCE THEIR RELEASE FOR DISTRIBUTION. THE INVESTIGATION COULD NOT VERIFY OR IDENTIFY ANY EVIDENCE OF PRODUCT ERROR WITH REGARD TO THE REPORTED EVENT. BASED ON THE INVESTIGATION, THE NEED FOR CORRECTIVE ACTION IS NOT INDICATED.

Description of Event or Problem · 1

THE PT WAS REVISED BECAUSE OF DISLOCATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARTICULEZE M 28MM 8.5 87LPH LPH DEPUY INTERNATIONAL, LTD NA 2445772

Patients

Seq Age Sex Outcome Treatment
1 71 YR Required Intervention